Individual
MIKA UEMATSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
4201 PRIMROSE AVE, BALTIMORE, MD 21215-3305
(410) 764-8560
(410) 764-9114
Mailing address
4201 PRIMROSE AVE, BALTIMORE, MD 21215-3305
(410) 764-8560
(410) 764-9114
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
11130
MD
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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